The Ottawa County Department of Public Health is alerting the public to increasing cases of shiga-toxin producing E. coli (STEC) infections in the community. The Department is currently monitoring 9 cases of STEC, which is significantly higher than the typical number of cases reported at this time of the year. The Department is working with the Michigan Department of Agriculture and Rural Development (MDARD) and the Michigan Department of Health and Human Services (MDHHS) to investigate possible links between the cases. Four of the 9 cases have been hospitalized for their symptoms.
This outbreak is characterised by high proportion of hospitalised (about 40%) cases, most of these are children below 10 years of age, and some cases with severe clinical symptoms like bloody diarrhoea.
Affected cases have been identified through advanced molecular typing techniques. As this method of testing is not routinely performed in all countries, some cases may be undetected.
Based on epidemiological and microbiological investigations, specific chocolate products from a Belgian chocolate factory were identified as likely vehicles of infection.
The factory was closed on 8 April 2022 (week 14) and product recalls were launched globally. The recalls aimed to prevent the consumption of products potentially contaminated with Salmonella. As a result of control measures, number of cases have declined rapidly.
Further investigations are needed to identify the root cause of the contamination, and to ensure that contaminated products are not put on the market.




